SOB A PERSPECTIVA DO PACIENTE, CARACTERIZAÇÃO DOS CUIDADOS PRIMÁRIOS A SAÚDE OFERTADOS A PESSOA COM DOENÇA RENAL CRÔNICA, EM HEMODIÁLISE, NA PARAÍBA

Abstract

The patient with chronic kidney disease, on hemodialysis, has several clinical, social and psychological problems, in addition to the kidney problem itself. When starting dialysis treatment, the patient usually focuses his / her care at the dialysis clinic and at the nephrologist, limiting his / her care plan to renal dysfunction and its complications, renal replacement therapy and other related clinical problems such as cardiovascular disease. This practice diverges from the Ministry of Health's proposal to centralize the care of individuals in primary care where the family and community health physician would be the care coordinator. The coordination of care by the nephrologist ends up segmenting the individual's health care and neglecting other dimensions of the individual, contributing to greater damage to the quality of life and worse screening and control of other pathologies, in addition to the increased risk of iatrogenies. In this sense, the present research project aims to characterize the provision of primary health care for patients with end-stage renal disease, on hemodialysis, in Paraíba, through the patient's perspective. This is a quantitative, descriptive study of a population survey in the form of a structured interview. Patients over 18 years old, with chronic kidney disease stage G5, undergoing renal replacement therapy, in hemodialysis modality, undergoing treatment in dialysis clinics located in Paraíba will be evaluated.